On the front line of Clinical Judgment

We’re keeping nurse educators ready for the next generation of the NCLEX-RN® with the insights, resources and support to ensure superior clinical judgment in today’s nursing students. 

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Wolters Kluwer is helping nurse educators meet the growing demand for strong clinical judgment in today’s nursing students.

Wolters Kluwer is here to help you prepare students for the changes to come on the NCLEX and the challenges of practice.

Taking the NCLEX® is a significant step in a nurse's journey, and every day after is equally important when you are entrusted with the care of others. 

Because of the pressure you face to produce highly prepared nurses for practice, Wolters Kluwer has always had a robust case-based, high-fidelity approach to nursing education. We have been by your side, publishing strong curriculum tools and robust instructor resources, to help make it easier and less time-consuming for you to teach your students to think like nurses.

What is the Clinical Judgment Gap?

You may have heard about the Next Generation NCLEX® project. The NCSBN wants to change how they evaluate clinical judgment following a study that concluded

50%
50% of entry-level nurses were involved in practice errors.

65%
65% of entry-level nurse errors were related to poor clinical decision-making.

20%
20% of employers were satisfied with decision-making abilities of entry-level nurses.

TOP 5
Clinical judgment is one of the top five required skills needed upon entry into the field.

Resources like Lippincott® CoursePoint, Lippincott® PassPoint, Lippincott® DocuCare, and vSim® for Nursing challenge students to look at real-life scenarios, synthesize information, develop care options, identify and perform appropriate actions, and determine effective interventions.

Closing the clinical judgment gap.

More than ever, today’s practicing nurses are required to accurately assess, use evidence, and make sound clinical judgments in order to ensure the most effective patient outcomes. To meet that need, the Next Generation NCLEX will use case studies that focus on the kinds of decisions nurses have to make. 

At Wolters Kluwer, we know that helping nursing students acquire knowledge is not enough. That’s why we, in collaboration with educators around the country and partners like the NLN and Laerdal®, have created resources that give students ample opportunities to apply their knowledge, think critically and use evidence to make good clinical decisions — to practice thinking like nurses:

  • vSim® for Nursing scenarios require students to identify and interpret information and identify appropriate nursing actions.
  • Case vignettes in our Lippincott® CoursePoint Interactive Modules help students recognize cues to identify the most clinically important information.
  • Lippincott® DocuCare enhances clinical reasoning by contextualizing realistic patient care scenarios with hands-on documentation.
  • Lippincott® PassPoint brings fidelity to the NCLEX prep experience through evidence-based information that helps students make sound clinical decisions.

What is clinical judgment?
Clinical judgment is the observed outcome of critical thinking and decision-making.

The latest information from leading experts

Stay informed about the next generation of nursing education with some of the most trusted names in the field. 

Dr. Desiree Hensel, Dean and Professor, Curry College School of Nursing talks with Anne Dabrow-Woods, Chief Nurse for Wolters Kluwer about teaching clinical judgment in nursing education programs. February 2020.

Strategies for Teaching and Assessing Students’ Nursing Clinical Judgment Skills
Presenters: Diane M. Billings, EdD, RN, FAAN, ANEF, Chancellor’s Professor Emeritus, Indiana University School of Nursing, Indianapolis and Desiree Hensel, BS, MS, PhD, Dean of the School of Nursing, Curry College
In this session, the speakers will describe the National Council of State Boards of Nursing Clinical Judgment Model and discuss learning activities targeted at helping students acquire clinical judgment skills. The concept of retrieval-based learning will be described while offering examples of how to use tests and other strategies to assess students’ abilities to make clinical judgments

Uncovering Modern Insights on Critical Thinking in Today's Learners
Presenters: Susan Forneris, PhD, RN, CNE, CHSE-A, Director, National League for Nursing (NLN) Center for Innovation in Education Excellence and Mary Fey, PhD, RN, CHSE-A, Senior Director of Teaching and Learning, Center for Medical Simulation, Harvard Medical School
Susan Forneris and Mary Fey discuss new insights on how brain science informs teaching and learning and explore how to use new teaching and learning techniques to create experiential learning encounters.

Applying Clinical Judgment to NCLEX Item Writing
Presenters: Vicki Moran, PhD, RN, MPH, CNE, CDE, PHNA-BC, TNS, Assistant Professor, St. Louis School of Nursing and Leigh Moore, MSN, RN, CNOR, CNE, Associate Professor of Nursing, Southside Virginia Community College
Nursing faculty are well versed in clinical judgment in their everyday practice in teaching nursing students to make those pertinent nursing care decisions. This webinar provides a theoretical basis for clinical judgment and demonstrates how to apply its use in writing NCLEX-style questions for nursing exams.

What’s next?

Wolters Kluwer is actively auditing NCLEX news to filter misinformation and keep you up to date with official developments from the NCSBN.

Here’s what we know:

  • Due to COVID-19 and testing site limitations, temporary NCLEX parameters are in place through Sept. 30, 2020:
    • The exam has a shortened time limit of FOUR hours.
    • The minimum number of test items is 60.
    • the maximum number of test items is 130.
    • The difficulty level and passing standard is unchanged.
       
  • NCSBN has embarked on a multi-year research project to explore new item types with potentially stronger capabilities for accurately evaluating students’ clinical judgment skills before they receive their license to practice.
  • The Next Generation NCLEX will NOT roll out before 2023.
  • All potential new item types are still in the research stage, and still in an optional section of the NCLEX for testing.
  • The five new prototyped Next Generation items were built using the Clinical Judgment Model (CJM) that the NCSBN is proposing.
  • Currently, the NCSBN is conducting research to determine if clinical judgment and decision-making in nursing practice can be reliably assessed. Their research includes focus group studies, usability studies, cognitive labs studies and the special research section on the current NCLEX. The items they have prototyped are in an optional special research section of the existing NCLEX-RN® for the purpose of collecting functionality data.
  • The NCSBN is still investigating scoring methods, and nothing is finalized. They are considering partial scoring as an option.
  • A decision to move forward would be followed by an extended period of item development, testing and refinement before new item types appear on the published NCLEX-RN.
  • The NCLEX-PN® is not currently included in the scope of these changes.

Our NCLEX advisory board members are providing guidance and direction related to our NCLEX products, so they are up to date with the most accurate and reliable content.

Keep me on the front line of clinical judgment.
I want to stay informed about the next steps in integrating clinical judgment into my courses, clinicals, and NCLEX prep.
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